Individual
CHERYL R AXFORD-LOCKHART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
751 NE BLAKELY DR, SUITE 2030, ISSAQUAH, WA 98029-6201
(425) 313-7080
(425) 313-7071
Mailing address
PO BOX 25608, SALT LAKE CITY, UT 84125-0608
(206) 320-4476
(206) 568-7043
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
AP30005892
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9639360
—
WA
Enumeration date
07/19/2005
Last updated
12/16/2015
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